Organization Active NPI

My Parents Paradise Carehome

  • Adult Care Home Facility
  • Memphis, TN
National Provider Identifier
1588382469
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
MY PARENTS PARADISE CAREHOME
Practice address
3167 Hilda St
Memphis, TN 38109-3281
Phone
(901) 281-2158
NPI assigned
Aug 17, 2022
Organization subpart
Yes
Parent organization
MY PARENTS PARADISE CAREHOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly CraftNPI 1649863416
Title
Owner/Operator
Phone
(901) 281-2158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

3167 Hilda St
Memphis, TN 38109-3281

Mailing address

6407 W Forked River CV
Bartlett, TN 38135-6176
Phone (901) 281-2158

National Provider Directory

National Provider Directory
Part of
My Parents Paradise Carehome

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1588382469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6407 W FORKED RIVER CV",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381356176",
            "telephone_number": "901-281-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3167 HILDA ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381093281",
            "telephone_number": "901-281-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PARENTS PARADISE CAREHOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MY PARENTS PARADISE CAREHOME",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "CRAFT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "901-281-2158"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.